Craig, Todd Martin
Craig, Todd Martin is an individual health care provider with primary practice located at 851 E 5Th St Suite 200, Washington MO 63090-3135. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Craig, Todd Martin can be contacted via phone (636) 239-8656.Contact Information
Primary practice address
851 E 5Th St Suite 200
Washington MO 63090-3135
Phone: (636) 239-8656
Fax: (636) 239-8553
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2000160478 | Missouri |
Profile Details
| NPI number | 1326077447 |
|---|---|
| LBN Legal business name | Craig, Todd Martin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2006 |
| Last updated | Aug 20th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326077447 | NPPES |
| Missouri | MEDICAID | 205075609 |
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